Hysteroscopic management of early miscarriage is a safe and effective technique with positive later reproductive outcomes. A systematic literature review was carried out to evaluate the use of hysteroscopy in the management of early miscarriage. Twenty-four articles were selected and their characteristics and results were analyzed. The different studies demonstrate the advantages of hysteroscopic resection over standard dilatation and curettage. This method can be an innovative treatment for early miscarriage in selected cases such as patients with recent uterine surgery, recurrent pregnancy losses, history of retained products of conception, congenital uterine alformations or intracavitary structural lesions.